Any way to correct orbital bone related eye hollows? (photos)

Question

I've been trying to do some research on the best way to treat my eye hollows. The problem is, in my case it's really more a facial bone structure thing than under eye "puffiness". I have very thin skin around the eye socket, and it creates a bump there based on how the skin rests against the skull, not on extra lumpy fat. I'm at a loss as to how to treat it, as fillers don't seem the best way to go for various reasons. Maybe a face lift of sorts?

Trevor M. Born, MD · Answer

Dear SophiaZThank you for your question!  The contour change can be done with Restylane in the office or with micro fat grafting in the operating room.  Both give excellent results - the fat grafting is permanent and the Restylane will last 1 to 2 Years.With Warm Regards,Trevor M Born MD

Nelson Lee Novick, MD · Answer

Forget the surgical blepharoplasty with its attendant expense and downtime. You should do extremely well with simple nonsurgical augmentation of the midface and upper inner cheek regions using injectable volumizing fillers, such as Voluma XC, which I would choose for this purpose in my Upper East Side Manhattan office, and Stylage XXL that I would opt for in my Israel satellite office, where a far greater number of regulatory agency approved injectable fillers are available. This should go a long way to correcting the hollowness. For the tear troughs and incipient bags, I would choose Beletero Balance combined with a tiny amount of Radiesse. Belotero has little chance of giving rise to the unwanted bluish Tyndall Effect when injected superficially in the very delicate skin under the eyes, and Radiesse, a whitish colored material helps to lighten any darkness. Treatment by an experienced injector is crucial.

Jeffrey H. Spiegel, MD · Answer

Hello,While fillers can sometimes be helpful to soften an irregularity, if you truly have a problem due to the shape of the bone, this can be smoothed out.  I do a procedure like this on average more than once every week.Excellent results can be achieved by an experienced surgeon.Good luck!

Jamil Asaria, MD · Answer

Hello,Your best options in that area are to consider something temporary like a filler, or to think of something longer lasting like fat grafting.Both need to be done by someone with a great deal of experience in that area. That said, the results can be quite remarkable when done right.

Vincent N. Zubowicz, MD · Answer

The periocular area is very touchy because of the thin skin. Contour issues can often times be treated with filler.

Any way to correct orbital bone related eye hollows? (photos)

Answers (5)